TelehealthOne-Time Sick VisitsDirect Primary Care

Healthcare Your Way.

Care when you need it. A provider who gets to know you.

Virtual or local care when you’re sick. Ongoing primary care when you’re ready. Simple, transparent pricing either way.

Nobody Beats Our Cost.

No insurance requiredHSA/FSA acceptedTransparent pricingNo copays on included care

Have insurance or Medicare? Keep it — use it for hospital, specialty and emergency care. Prefer self-pay or don’t have insurance? This was designed for you. Presence care is paid directly and is not billed to insurance or Medicare. Itemized receipts available on request.

There’s a Better Way.

Virtual when you need it. Local when you want it. Ongoing primary care when you’re ready.

Care for Your Whole Family. Day or Night.

Unlimited virtual care starting at just $19.99/month.

Day or night.As many times as you need.Your entire household.24 hours a day 7 days a week 365 days a year.

Midnight? Weekend? Something comes up?Presence is present for you and your family. Day or night.

$19.99 / month

Virtual Family Care

Unlimited virtual care for your entire household

Day or night.

24 hours a day 7 days a week 365 days a year

Pediatric virtual care included

Local In-Office Care

Just $129 per visit

40% less than typical local in-office visit pricing

In-office care ages 13+

Save Up to 80% on Labs & Imaging

Blood tests X-rays MRIs CT scans Ultrasounds

Lower member pricing No insurance required

Get Unlimited Family Care

12-month membership billed monthly

Most Popular Best Value

$29.99 / month

Virtual + Local In-Office Care

Unlimited virtual care for your entire household

2 Local In-Office Visits
Included Annually

Additional visits just $99 each

Day or night.

24 hours a day 7 days a week 365 days a year

Pediatric virtual care included

50–60% less than typical local in-office visit pricing

In-office care ages 13+

Save Up to 80% on Labs & Imaging

Blood tests X-rays MRIs CT scans Ultrasounds

Lower member pricing No insurance required

Get Virtual + Local Care

12-month membership billed monthly

Membership enrollment starts with a short call — we confirm the plan, household members and terms with you before anything is billed.

Call 817-900-6368 to Start

Not Ready for a Membership?

Need treatment today? Choose a one-time visit.

$19.99+

One-Time Quick Care

No appointment needed

Eligible prescription refills Work & school notes Qualifying quick follow-ups

No phone or video visit is needed when clinically appropriate. Call to begin the current intake process; if your provider needs additional information, we’ll contact you.

Call to Start

$39

Phone Visit

Care for one straightforward concern by phone

1 concern

A live visit with a medical provider for one straightforward concern — no video needed.

Call for Visit

$69

Extended Video Visit

More time when you need more care

2–3 concerns

Choose a longer virtual appointment for multiple concerns or more involved care.

Call for Visit

$149

Local In-Office Visit

In-person care at the local clinic

One-time visit No membership required

See a local Presence provider in person for a one-time clinic visit.

Explore Local Care

Virtual visit timing: Most single-concern phone and video visits take about 10 minutes.

No insurance required No surprise pricing HSA/FSA accepted

Itemized receipts are available upon request if you choose to submit your care to insurance for possible reimbursement. Reimbursement is not guaranteed.

Which type of visit do I need?

Direct Primary Care

Unlimited In-Person Primary Care.A Provider Who Gets to Know You.

One predictable monthly membership. Unlimited included in-office primary care visits, virtual care included, and no copays on included care.

The same local provider. More time for your health. Ongoing care built around you.

No copays on included care No insurance required Transparent monthly pricing

Unlimited In-Office Care Memberships

Ages 19–44$79 / month

Ages 45–64$89 / month

Ages 65+$109 / month

Unlimited Local Primary Care

Age-based pricing gives every stage of adulthood the time and attention it deserves.

Unlimited Included In-Office VisitsCome in when you need care without paying for every included visit.
Virtual Care IncludedWhen an office visit isn’t necessary, get care without making the trip.
The Same Local ProviderBuild continuity with someone who learns your history instead of starting over every time.
Sick + Everyday CareGet help when you’re sick without automatically turning to high-cost urgent care.
Preventive + Ongoing CareRoutine follow-ups Preventive care Medication management Chronic-condition management

20+ Years of Healthcare Experience

Save Up to 80% on Labs & ImagingBlood tests X-rays MRIs CT scans UltrasoundsLower member pricing No insurance required

No copays on included care

Significantly less than typical urgent care & ER costs

HSA/FSA accepted Transparent pricing

Make Presence My Primary Care

12-month membership billed monthly one-time $49 clinical onboarding before first local visit

$219 / month

Unlimited Family Primary Care

Ongoing local + virtual primary care for your family.

Unlimited Included In-Office CareCovered local primary care for eligible household members ages 13+ without paying for every included visit.
Virtual Care IncludedUnlimited 24/7 virtual care for your household, including pediatric virtual care.
Same Local ProviderBuild continuity with someone who learns your family’s history instead of starting over every time.
Sick + Everyday CareGet help when someone is sick without automatically turning to high-cost urgent care.
Preventive + Ongoing CareRoutine follow-ups Preventive care Medication management Chronic-condition management

20+ Years of Healthcare Experience

Save Up to 80% on Labs & ImagingBlood tests X-rays MRIs CT scans UltrasoundsLower member pricing No insurance required

No copays on included care

Significantly less than typical urgent care & ER costs

HSA/FSA accepted Transparent pricing

Family of up to 5 included

Pediatric virtual care included Participating pediatric partners available when hands-on care is needed

Each additional child after 5: +$29/month

Make Presence Our Family’s Primary Care

12-month membership billed monthly one-time $49 clinical onboarding per person before a first local visit

Labs and imaging savings vary by test, study, location, and participating provider; final pricing is confirmed before service where available. Membership pricing applies to included primary care; labs, imaging, medications, procedures, and outside services may carry separate costs.

Your Membership Can Save You Far Beyond the Visit.

Access lower-cost labs, imaging and medication options through participating healthcare partners.

Dramatic member savings

Labs from just a few dollars

Labs for Less

Common lab tests can cost dramatically less through participating healthcare partners.

See Sample Lab Prices
CBC$5
CMP$5
A1C$10
PSA$10
Vitamin D$25
Many other labsFrom $3

Pricing this low can often be less than what people pay even with insurance.

Member laboratory prices vary by test, location and participating laboratory, and final pricing is confirmed at the time of service. The laboratory service itself is paid separately at the applicable member rate and is not included in membership dues.

Save on imaging

Often 80–90% below typical hospital pricing

Imaging for Less

Access lower-cost X-rays, ultrasound, CT and MRI through participating imaging partners.

See Imaging Savings

Pricing is quoted before the study wherever possible, so you know the cost first.

Imaging pricing is provided through participating imaging partners and varies by study, facility and location. Savings are not guaranteed for any individual study. Imaging is paid separately at the applicable member rate and is not included in the membership price.

Everyday prescription savings

Lower-cost medication options

Medications for Less

Many common and long-term maintenance medications are available at partner pharmacy pricing.

See Medication Savings

Your provider can tell you what a prescription costs before it is sent.

Medication savings are provided through partner pharmacy and discount programs where available. Savings vary by medication, pharmacy and location and are not guaranteed for any individual prescription. Prescriptions are issued only when clinically appropriate and permitted by law.

You’ve seen what’s included. When you’re ready, here are your choices:

Ages 19–44$79 / mo
Ages 45–64$89 / mo
Ages 65+$109 / mo
Family up to 5$219 / mo+$29/mo per additional child after 5
Choose Your Membership

Your Local Primary Care Provider for North Fort Worth, North Richland Hills and Surrounding Communities

Presence’s virtual-care operation is based in Haslet, serving the Haslet / Alliance / North Fort Worth corridor and households across Texas. Scheduled in-office care is provided at our single patient-care location in North Richland Hills—not at a Haslet clinic or a separate office in every city we serve.

Your local provider. A primary care provider who knows you, with in-office care for members ages 13+.

North Richland Hills & Mid-Cities Priority local-care community

North Richland Hills KellerWataugaRichland HillsHurstHaltom CityBedford ColleyvilleEulessGrapevineSouthlake

Haslet / Alliance / North Fort Worth & Wise County

Tarrant CountyWise CountyAlliance / North Fort Worth HasletSaginawRoanokeJustin NewarkRhomeNew FairviewNorthlakeAzleBoyd Trophy ClubWestlake Blue MoundLake WorthEagle Mountain / Pecan Acres

Care Without the Hassle

No copaysUse your included virtual care without paying every time you need help.

No driving or gasGet care from home, work, or wherever you are.

No traffic or waiting roomsSkip the drive and crowded urgent-care waiting room.

No surprise urgent-care billsKnow what your membership costs before you need care.

No visit limitsYes, unlimited really means unlimited.

Your entire household. Day or night.24 hours a day 7 days a week 365 days a year.

More Ways to Feel Better. More Ways Presence Can Help.

Medical Weight Loss

GLP-1 treatment and personalized weight-management support

Hormone Therapy

Testosterone, menopause and personalized hormone therapy programs

Peptide & Longevity Programs

Personalized peptide programs for wellness, performance and healthy aging

Sleep & Sleep Apnea

Convenient evaluation and treatment options from home

Supplements & Wellness

Personalized wellness support and clinician-guided options

Sexual Health & ED

Private, convenient treatment for sexual health and performance concerns

Specialty programs are separately priced and subject to clinical evaluation, eligibility and availability.

For employers

Give Your Employees Healthcare They’ll Actually Use.

24/7 family healthcare + local primary-care access with predictable monthly pricing.

  • 24/7/365 virtual healthcare
  • Family access
  • Local primary-care options
  • No copay for included virtual care
  • Substantially discounted additional office visits
  • Lower-cost labs, imaging and medications
  • Predictable monthly cost

A meaningful healthcare benefit without requiring every small business to start with a traditional high-cost group insurance model.

Built for: Small Businesses • Staffing Companies • Contractors • Growing Teams • Healthcare Employers

Work for yourself? See healthcare for the self-employed and 1099 households.

Need Extra Protection for a Medical Emergency or Catastrophic Event?

Presence covers your everyday and ongoing care. For large, unexpected medical expenses, members can explore a low-cost alternative designed for major events.

Explore Optional Health Sharing
Plan details & important disclosures

Access dramatically reduced member pricing through our healthcare partners.

Zion Health is a health care sharing membership, not health insurance. It is not issued by an insurance company, does not guarantee payment of medical bills, and is administered by Zion Health — not by Presence. Eligibility, membership terms, sharing limits and exclusions are determined by Zion Health and provided before enrollment.

Unlimited local primary-care visits refers to medically appropriate scheduled visits for covered primary-care services and is subject to appointment availability, clinical appropriateness, provider scope of practice, and membership terms. Labs, imaging, medications, specialist services, emergency care and other third-party services are not included and are available at member pricing where applicable.

Local Presence primary care is available for ages 13 and older. A one-time $49 clinical onboarding & medical history review is completed before your first local in-person visit. Full membership terms are provided before enrollment is completed. See full pricing details or compare memberships.

Tired of the Healthcare Runaround?

  • No fighting traffic.
  • No sitting for hours in a waiting room.
  • No weeks-long wait just to ask a question.
  • No unnecessary urgent-care hassle for something that can appropriately be handled virtually.

Care right now when you need an answer. Local primary care when you need someone who knows you.

Immediate care when you need it. Personal care when you need more.

What Is Presence Medical Care?

Presence Medical Care combines one-time virtual care, unlimited virtual family care, Fort Worth-area in-office care, and relationship-based Direct Primary Care. Choose only the type of care you need.

One-Time Virtual Care

Pay for a Quick Care request, Phone Visit, Video Visit, or Extended Video Visit without joining a membership.

Unlimited Virtual Family Care

One household membership provides unlimited 24/7/365 virtual care, including pediatric virtual care.

Local In-Office Care

Members ages 13+ can receive hands-on primary care at the Presence practice in North Richland Hills.

Direct Primary Care

Build an ongoing relationship with the same local provider for preventive, sick, and ongoing primary care.

Virtual Family Care members pay $129 per local in-office visit. Virtual + Local In-Office Care includes 2 local visits annually, with additional visits at $99 each. Direct Primary Care memberships include covered local care without an additional per-visit charge.

How Local Presence Care Works
  1. Join your membership.
  2. Complete local-care onboarding when you’re ready.
  3. Authorize access to your available prior medical records.
  4. Complete your one-time Clinical Onboarding & Medical History Review — $49, before your first local in-person visit (not before you join).
  5. Attend your first local in-person primary care visit.

Local Presence primary care is available for ages 13 and older; younger children receive pediatric virtual care with access to participating pediatric partners when hands-on care is needed. Local visits cover wellness visits, annual physicals, sick visits, follow-ups, medication management, and referrals and authorizations when clinically appropriate.

Visits remain subject to clinical appropriateness, provider scope of practice, appointment availability and membership terms. Presence schedules in-person visits at the North Richland Hills practice and does not maintain separate offices in every community it serves. See how local primary care works.

Why Families Choose Presence

24/7/365 access

Healthcare does not keep business hours.

Real local primary care

A provider who can actually get to know you.

No insurance required

Use Presence whether you have insurance, a high deductible or no insurance.

Straightforward pricing

Know what your care costs whenever possible.

A Few More Things Worth Knowing

Join

Choose the membership that fits your household.

Get care

Virtual care day or night; local care when you need to be seen.

Keep Presence in your corner

Member pricing and a provider who knows you, year-round.

The convenience of telehealth. The relationship of primary care. The purchasing power of membership.

See How Presence Compares

What Can Virtual Care Help With?
  • Cold & flu
  • Sinus problems
  • UTIs
  • Pink eye
  • Allergies
  • Rashes
  • Sore throat
  • Minor infections
  • Medication questions
  • Everyday concerns

Virtual clinicians determine the appropriate course of care based on your symptoms and clinical circumstances, and may recommend in-person or emergency evaluation when necessary. See how 24/7 virtual care works.

Get Care Now

Need Help With Larger Medical Expenses?

Ask Presence about optional medical cost-sharing solutions that may help eligible members with larger healthcare expenses such as hospitalizations, surgeries and major illnesses.

Medical cost sharing is not health insurance. Eligibility, sharing rules and program terms apply.

Ask About Larger-Expense Options

We’ve Got You.

Is Presence health insurance?

No. Presence is a healthcare membership, not health insurance. It is designed to make everyday healthcare easier and more affordable and can be used whether or not you have insurance.

Can I really talk to a licensed provider 24/7?

Yes. Eligible Presence members receive access to the participating 24/7 virtual-care network, subject to the terms and availability of that service. Video and phone visits with licensed healthcare providers.

Can my family use Presence?

Yes. Eligible household memberships include 24/7 virtual healthcare for adults and children. Presence provides local primary care for ages 13 and older. Children under 13 can receive pediatric virtual care, and when hands-on care is needed, families can access participating pediatric partners.

What if I need to be examined in person?

Presence members ages 13+ can access local in-office primary care. Virtual Family Care members pay $129 per visit. Virtual + Local In-Office Care includes 2 visits annually, then additional visits are $99 each. Direct Primary Care memberships include covered local care without an additional per-visit charge. See how local care works.

What is Direct Primary Care?

Direct Primary Care is an ongoing membership relationship with the same local provider. Individual age-tier memberships are $79, $89 or $109 per month; Family Direct Primary Care is $219 per month for up to five, plus $29 per additional child after five. These plans include covered local primary care, virtual care, preventive and ongoing care, and no copays on included care. Learn how Direct Primary Care works.

Do I need insurance?

No. Presence does not require health insurance. Many members still choose to keep insurance or another form of major medical protection for hospitalizations, emergencies, surgery and other large medical expenses.

What is the difference between a phone visit and a video visit?

Both are live, single-concern visits. A $39 Phone Visit is audio-only; a $49 Virtual Video Visit adds face-to-face video when visual evaluation may be useful. Clinical appropriateness determines the right format.

See All Questions
What can Quick Care be used for?

Quick Care starts at $19.99 for eligible prescription refills and work or school note evaluations. A provider determines whether your request can be handled without a phone or video visit.

What about emergencies?

Presence is not an emergency medical service. If you believe you are experiencing a medical emergency, call 911 or seek emergency care immediately.

How does pediatric virtual care work?

Household plans include pediatric virtual care. Local Presence primary care is for ages 13 and older; when a child under 13 needs hands-on care, families can access preferred pricing through participating pediatric partners.

How much do local in-office visits cost for virtual-care members?

Virtual Family Care members pay $129 per local in-office visit. Virtual + Local In-Office Care includes 2 local visits annually; additional visits are $99 each. Local Presence care is for ages 13 and older.

Are Unlimited local visits really unlimited?

Unlimited memberships include medically appropriate scheduled primary-care visits for covered Presence primary-care services without an additional per-visit charge. Visits remain subject to clinical appropriateness, provider scope, appointment availability and membership terms.

What does Family Unlimited include?

Family Unlimited includes unlimited 24/7 virtual healthcare for the household and medically appropriate local Presence primary-care visits for eligible family members ages 13 and older. $219/month includes a family of up to 5; each additional child after 5 is $29/month.

Will I see the same person locally?

Our local-care model is built around continuity. The goal is for you to see the same Presence primary care provider who becomes familiar with your history, needs and healthcare goals.

What does labs & imaging member pricing mean?

Eligible members can access lower pricing on blood tests, X-rays, MRIs, CT scans, and ultrasounds through participating partners. These services are paid separately and savings vary by service, facility, and location. See labs & imaging savings.

Is there a fee before my first in-person visit?

Yes. A one-time Clinical Onboarding & Medical History Review is $49 and is completed before your first local in-person primary care visit — not before you join. It lets your provider review your history, medications and prior records in advance.

Where do you serve for local in-clinic care?

Local in-person primary care is scheduled at the Presence practice in North Richland Hills and serves members in Fort Worth, North Fort Worth, Haslet, North Richland Hills, Keller, Southlake, Colleyville and across DFW. 24/7 virtual care is available within the applicable service area. See locations.

Can I pay with an HSA or FSA?

Many members pay with an HSA, FSA, debit or credit card. Eligibility of membership fees for HSA/FSA reimbursement depends on your plan administrator and your individual tax situation. Presence does not provide tax advice.

How does membership billing work?

Memberships require a 12-month commitment and are billed monthly to the payment method on file, continuing month to month after the initial term unless cancelled. See membership terms.

Who is eligible for specialty programs?

Specialty programs such as medical weight loss and GLP-1 care, menopause and hormone care, men’s health and peptide programs are separately priced and subject to clinical evaluation, eligibility, legal availability and program capacity.

Come to Us for Today.

Stay with us for what comes next.

Need a work or school note? A refill? A quick virtual visit? Feeling sick and want to see someone locally? Start with exactly the care you need today.

And when you’re ready for ongoing care, Presence can become the primary care home where you are known, welcomed as you are, and given unhurried time and attention.

One place for care. From the simple things to the long term.

Questions? Call 817-900-6368

Serving Fort Worth & Greater DFW

Fort Worth · North Fort Worth · Haslet · North Richland Hills · Keller · Southlake · Colleyville · and surrounding communities

HSA/FSA eligible · Debit & credit accepted · No insurance required